Evidence map›Paper›PMID 30799926›Full record

Trial reportVascular health and risk management2019

Long-term effects on survival after a 1-year multifactorial vascular risk factor intervention after stroke or TIA: secondary analysis of a randomized controlled trial, a 7-year follow-up study.

Guri Hagberg, Brynjar Fure, Else Charlotte Sandset, Bente Thommessen, Håkon Ihle-Hansen, Anne Rita Øksengård, Ståle Nygård, Torgeir B Wyller, Hege Ihle-Hansen

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Vascular health and risk management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Guri HagbergDepartment of Internal Medicine, Bærum Hospital, Vestre Viken Hospital Trust, Drammen, Norway, guri.hagberg@gmail.com.
Brynjar FureDepartment of Internal Medicine, Karlstad Central Hospital and Institute of Public Health, University of Tromsoe, Tromsoe, Norway.
Else Charlotte SandsetDepartment of Neurology, Oslo University Hospital, Oslo, Norway.
Bente ThommessenDepartment of Neurology, Akershus University Hospital, Lørenskog, Norway.
Håkon Ihle-HansenDepartment of Internal Medicine, Bærum Hospital, Vestre Viken Hospital Trust, Drammen, Norway, guri.hagberg@gmail.com.
Anne Rita ØksengårdDepartment of Internal Medicine, Bærum Hospital, Vestre Viken Hospital Trust, Drammen, Norway, guri.hagberg@gmail.com.
Ståle NygårdDepartment of Informatics, The Faculty of Mathematics and Natural Sciences, University of Oslo, Oslo, Norway.
Torgeir B WyllerInstitute of Clinical Medicine, University of Oslo, Oslo, Norway, guri.hagberg@gmail.com.
Hege Ihle-HansenDepartment of Internal Medicine, Bærum Hospital, Vestre Viken Hospital Trust, Drammen, Norway, guri.hagberg@gmail.com.
Oslo University Hospital · NOUniversity of Oslo · NOAkershus University Hospital · NOUniversity Hospital of North Norway · NOVestre Viken Hospital Trust · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke and coronary heart disease share the same risk factors, and a multifactorial intervention after stroke may potentially result in the same reduction in cardiovascular mortality as seen after coronary events. We aimed to evaluate the effect on survival 7 years after a 1-year multifactorial risk factor intervention, and identify clinical predictors for long-term survival in a hospital-based cohort of patients with first-ever stroke or transient ischemic attack (TIA). MATERIALS AND

methodsWe performed a secondary analysis of a randomized controlled trial including patients between February 2007 and July 2008 comparing an intensive risk factor intervention vs usual care the first year poststroke to prevent cognitive impairment. From February 2014 to July 2016, all patients were invited to a follow-up. For patients dying throughout the follow-up period, date of death was obtained from the medical record. Examination at baseline and 1-year follow-up included extensive assessment of vascular risk factors and cognitive assessments.

resultsA total of 195 patients were randomized. Mean (SD) age was 71.6 (12.5) years, 53.3% were male, mean (SD) body mass index (BMI) was 25.6 (4.1) kg/m

conclusionIn this post hoc analysis, we found no significant effect on survival after 7 years of a multifactorial risk factor program given during the first year after first-ever stroke or TIA. Higher BMI was an independent predictor for long-term survival in this cohort.

Indexed as

AgedAged, 80 and overAge FactorsBody Mass IndexDisability EvaluationFemaleFollow-Up StudiesHealth StatusHumansIschemic Attack, TransientMaleMiddle AgedRecurrenceRisk AssessmentRisk FactorsSecondary Preventioncardiovascular riskRCTrisk factor managementsecondary preventionstroke

Identifiers

PMID30799926
PMCPMC6369929
OpenAlexW2914797973

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.